• 한국정보시스템학회지:정보시스템연구
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• 제27권4호
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• pp.149-165
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• 2018

Purpose As Korean economy has been sluggish in recent years, firms' interest in publicly financed projects has increased due to the relatively increasing proportion in the economy. Since 1999, publicly financed projects in Korea need to undergo preliminary feasibility study to evaluate economic efficiency and policy quality if they are larger than a certain scale. The benefits of public projects are one of the most important factors in the preliminary feasibility study but are difficult to estimate due to their nature. Design/methodology/approach This study estimates the benefits of the agricultural soil information database, a public database in Korea. The method used in the study is the stated preference method which is formally used in Korea's preliminary feasibility study. Data are collected through surveys and a logit model is constructed to be estimated by the maximum likelihood estimation method. Findings As the first study evaluating a public database, this study can be used as a baseline in all public database projects developed in the future. In addition, this study can contribute to improving the understanding of both private companies and public organizations who are interested in the cost-benefit analysis and estimation procedure for the publicly financed projects.

• 한국도서관정보학회지
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• 제34권1호
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• pp.313-330
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• 2003

이 연구에서는 새로운 공공도서관의 건립 및 운영과 관련한 타당성 분석의 일환으로 대구광역시 북구지역의 사례를 중심으로 그 경제적 타당성을 분석하였다. 이를 위해 비용-편익분석과 민감도분석을 실시하였다. 분석 결과 해당지역의 공공도서관 건립 및 운영의 예상결과는 충분한 경제적 타당성을 갖는 것으로 나타났다.

• Journal of Preventive Medicine and Public Health
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• 제49권4호
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• pp.183-196
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• 2016

Objectives: There is no systematic review on economic evaluations of telemedicine in Japan, despite over 1000 trials implemented. Our systematic review aims to examine whether Japan's telemedicine is cost-saving or cost-effective, examine the methodological rigorousness of the economic evaluations, and discuss future studies needed to improve telemedicine's financial sustainability. Methods: We searched five databases, including two Japanese databases, to find peer-reviewed articles published between January 1, 2000 and December 31, 2014 in English and Japanese that performed economic evaluations of Japan's telemedicine programs. The methodological rigorousness of the economic analyses was assessed with a well-established checklist. We calculated the benefit-to-cost ratio (BCR) when a reviewed study reported related data but did not report the BCR. All cost values were adjusted to 2014 US dollars. Results: Among the 17 articles identified, six studies reported on settings connecting physicians for specialist consultations, and eleven studies on settings connecting healthcare providers and patients at home. There are three cost-benefit analyses and three cost-minimization analyses. The remaining studies measured the benefit of telemedicine only, using medical expenditure saved or users' willingness-to-pay. There was substantial diversity in the methodological rigorousness. Studies on teledermatology and teleradiology indicated a favorable level of economic efficiency. Studies on telehomecare gave mixed results. One cost-benefit analysis on telehomecare indicated a low economic efficiency, partly due to public subsidy rules, e.g., a too short budget period. Conclusions: Overall, telemedicine programs in Japan were indicated to have a favorable level of economic efficiency. However, the scarcity of the economic literature indicates the need for further rigorous economic evaluation studies.

• 보건행정학회지
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• 제24권1호
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• pp.24-34
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• 2014

Background: Bankrupted households have recently been increased due to excessive medical expenditure in Korea. They have not been protected from economic risk when household's member has severe diseases that need a lot of money for treatment. Purpose of this study examines policy effect by comparing unmet needs' change of policy object households and non-object groups. Methods: We used Korea Health panel 2nd 4th data collected by Korea Institute for Health and Social Affairs and National Health Insurance Service. Analysis subjects were 381 households (pre-policy) and 393 households (post-policy) that had cancer and cardiovascular and cerebrovascular diseases. Since it was major concern that estimates benefit strengthening policy started by certain time, we setup comparing households which had diabetes, hypertension disease. Comparison subjects were 393,247 households, respectively and we evaluated policy effect using difference in difference (DID) model. Results: Although unmet needs of policy object households were higher than non-object groups, policy execution variable affected negative direction. But interaction-term which shows pure effect of policy was not statistically significant. We utilized multi-DID model to examine factors affecting unmet needs causes. Copayment assistance policy did not significantly affect households that responded to 'economic reason,' and 'no have time to visit' for unmet needs causes. Conclusion: The second copayment assistance policy did not significantly give positive effect to beneficiary households than non-beneficiary groups. When we consider that primary purpose of public insurance guarantee high medical expenditure occurred by unexpected events, it needs to deliberate on switch of benefit strengthening policy that can assist vulnerable people. Also, we suggest that government forward a policy covering non-reimbursable medical expenses as well as switch of benefit strengthening direction because benefit policy do not affect non-covered medical cost which accounts for quarter of total health expenditure.

• Journal of Preventive Medicine and Public Health
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• 제22권3호
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• pp.398-405
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• 1989

A change in the consumer's surplus was measured in order to evaluate the social benefit to be derived from expanding health insurance to the entire population. The most refined and correct way to measure a project's net benefit to society is to determine a change in the consumer's surplus. Benefits from introducing the health insurance program to the uninsured people can be classified into two elements. The first is the pricing-down effect(E1) which results from applying the insurance price system, which is lower than the actual price, to the uninsured patients. The second effect(E2) is a decrease in actual payment because an insured patient pays only a portion of the total medical bill(copayment). We collected medical price information from the data banks of 93 hospitals, and obtained information of medical utilization by referring to the results of other research and from data published by the Korean Medical Insurance Societies. The total net benefit was estimated as \214 billion, comprising the first effect(E1) of \57 billion and the second effect(E2) of \157 billion. The price elasticity of physician visits is less than that of hospital admissions: however, benefits from the increase in physician visits are greater than those from hospital admissions because there are considerably more of physician visits than hospital admissions. The sensitivity analysis also shows the conclusion that expansion of the health insurance program to the entire population would result in a positive net benefit. Therfore, we conclude that the National Health Insurance Program is socially desirable.

• Journal of Preventive Medicine and Public Health
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• 제13권1호
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• pp.47-51
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• 1980

This study attempts to assess the effect of the 1st class health insurance program to the income redistribution among the participants in a unit health insurance cooperative. One health insurance cooperative, located in Seoul, with 1558 members and 768 households was selected for this purpose. The relationships between amount of premium payed and benefits from the cooperative were compared. Necessary data were obtained from the bills submitted to the health insurance cooperative by the contracted medical institutions from 1st January 1977 to 30th June 1979. Households and individuals were the unit of the assessment. The indicators measuring income redistribution effect were the ratios between the benefit and expected benefit and the ratios between the benefit and the mean benefit. The major findings were: 1. The ratios between the benefits and the expected benefits were lower than 1 in the high income group and greater than 1 in the middle and lower income groups. This fact imply that the income redistribution effect was shown in the studied groups. It was shown that the middle income group received the greatest benefit, and then the lower income group. 2. The ratios between the benefit ana the mean benefit of the households in the higher standard income grade, were found to be higher. This means that the equity of the benefits of households were not achieved by the policy of the health insurance plan. 3. The health insurance utilization rates of the higher standard income group, measured by the household unit, were higher, and by the individual unit, the same rates of the middle income group were higher than other groups.

• 한국산림과학회지
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• 제66권1호
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• pp.68-73
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• 1984

현대사회(現代社會)는 국민경제(國民經濟)의 고도성장(高度成長)에 수반(隨伴)되는 산업활동(産業活動)의 고도화(高度化), 도시집밀화사회(都市集密化社會)의 형성(形成), 생활수준(生活水準)의 향상(向上)에 따르는 여가선용(餘暇善用) 있어서, 삼림(森林)에 대(對)한 공익기능(公益機能)의 발휘(發揮)를 최대한(最大限)으로 요청(要請)하고 있다. 즉(卽), 삼림(森林)이 잠재적(潛在的)으로 보유(保有)하고 있는 야외(野外) recreation 자원(資源), 수자원(水資源), 야생조수(野生鳥獸), 어류(魚類), 목재(木材), 목초(牧草) 등(等)의 천연자원(天然資源)은 공익적(公益的), 경제적(經濟的) 양기능면(兩機能面)에서 복합적(複合的)으로 이용(利用)할 수 있게 하여야 한다. 특(特)히, 삼림(森林)의 공익기능(公益機能)의 수량화(數量化)가 필수부가결(必須不可缺)의 위치(位置)를 점(占)하게 됨으로 이에 대(對)한 연구개발(硏究開發)이 활성화(活性化)되어야 한다.

• 한국유기농업학회지
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• 제31권3호
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• pp.167-189
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• 2023

Korea has become the highest nitrogen balance (228 kg/ha) among 34 OECD member countries, and has the stigma of being a 'Nutrient overload country' as of 2019. Accordingly, research on the derivation and utilization of nutrient balance indicators and the 'regional nutrient management system' are being promoted to improve Korea's nutrient balance. It is necessary to support these policies and studies, form a public consensus on improving the nutrient balance, and evaluate the function of the public benefit. This paper aims to estimate the public benefit value of improving the nutrient balance based on an analysis of consumers' willingness to pay and recognition of Korea's nutrient excess for 600 consumers nationwide. As results, 21.2% of the respondents said they were aware of excessive nutrients in Korea, and 76.7% of the respondents said they were aware of the need for nutrient management. The average amount of intention to pay for the improvement of three pollution (soil, water quality, and air) that can occur due to a nutrient overload was ￦2,321.1 for soil pollution improvement, ￦2,391.2 for water pollution improvement, and ￦2,377.9 for air pollution improvement. The average willingness to pay for the three pollution reduction was ￦6,002.3. These results are expected to be used to form a public consensus on the balance of payments and to establish measures to enhance public interest values in the future.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 1997년도 추계 학술대회 연제집
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• pp.268-269
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• 1997

• 지능정보연구
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• 제24권3호
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• pp.177-198
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• 2018

최근 경제재로서 수자원(Water Resources)의 속성이 공공재 성격을 동시에 띠면서 수자원기술의 측정과 성과 관리 체계를 확보하고 활용해야 할 필요성이 제기되고 있다. 그 동안 수자원기술의 평가는 대부분 순현재가치(NPV)나 비용편익효과(B/C)를 바탕으로 경제성 평가(Feasibility Study) 혹은 기술(환경)영향평가(Technology Assessment)로 수행되어 왔으며, 연구성과의 확산과 피드백을 받을 수 있는 기술 기반 사업의 경제적 가치를 객관적으로 평가하는 모델은 체계화되지 않았다. 그리하여, 본 연구에서는 K-water(한국수자원공사)가 담당하고 있는 수자원분야의 기술적 특성에 적합한 기술평가 체계를 구축할 필요성을 느끼고, 공익형 수자원기술에 대한 기술가치평가 모델을 개발하여 사례를 실증하고자 한다. 본 연구에 적용된 K-water 평가대상기술은 공공재로서, 사회전반에 기여한 가치 및 성과를 측정하고 관리할 수 있는 도구로 활용 가능하다. 예를 들면, 사회전반에 기여한 가치를 산출하여, 편익의 파급효과에 대한 성과 홍보자료, 혹은 비용 투입 당위성에 대한 근거자료로 활용할 수 있고, 공공기술의 특성상 대규모 연구개발 투입 비용에 대한 정당성을 확보할 수 있다. 따라서, 공공재를 다루는 한국의 대표적 공기업인 K-water가 사업 운영상의 전략을 수립하고 투입개발 비용에 대한 성과산출 근거 기반을 구축할 수 있을 것으로 판단된다. 본 고에서는 K-water가 담당하고 있는 수자원분야의 기술적 특성에 적합한 기술평가 체계를 기반으로, 공익형 수자원기술에 대한 기술가치평가 모델을 개발하여 사례를 실증하였다. 특히, 일본 산업기술종합연구소(AIST)의 평가방법론을 활용하여 연관 편익항목을 기준으로 비용계정에 매칭시킨 후, 기존의 비용-편익 접근법과 FCF(Free Cash Flow)법의 평가체계를 활용하는 'K-water 고유모델'을 제시하였으며 이를 통해 K-water 연구성과 관리체계 상의 파이프라인을 구축하는 동시에 "해수담수화" 관련 기술에 대한 검증을 수행하였다. 수자원 분야 기술의 특성을 반영한 웹기반 가치평가시스템의 설계 구성로직과 평가프로세스를 분석하며, 기술통합관리시스템 상의 공익형 및 수익형 기술가치를 산출하기 위한 각 모델별 참조정보 및 DB 연계로직도 살펴본다. 종래의 타 분야 기술가치평가 시스템이 지닌 재무적 데이터 기반의 사업가치 산출로직에 수자원 특성이 반영된 정성평가지표의 정량화 지수를 함께 반영한 하이브리드형 평가모듈과 실제 웹기반 평가의 UI 구성화면을 검토한다. K-water의 가치평가 모형은 공익형과 수익형 수자원 기술을 구분하여 평가하게 되는데, 먼저 수익형 기술가치평가는 "기술의 경제성"이라고 하는 특성상 외부 산업유형의 수익(Profit)특성을 반영하여 화면을 설계 가능하다. 예를 들어 K-water 기술인벤토리 수도부문 기술은 수처리 멤브레인과 같이 수익 지향 기술이 다수 분포된다. 반면에, 공익형 기술가치평가는 공공의 편익(Benefit)과 비용(Cost)특성을 반영하여 화면을 설계하게 되는데, 댐과 같이 편익을 지향하는 기술을 평가하는데 활용된다. 또한 본 고에서 제시된 비용-편익 기반의 공익형 기술가치평가 모형(K-water 고유 평가모델)에 대한 적정성 검토를 위해 사회적 수명(20년)을 지닌 수자원 기술의 편익흐름 추정으로부터 실제 사례에 적용해 보았으며, 향후에는 다양한 사업환경 특성을 반영한 비즈니스 모델별 평가모형 검증을 추가적으로 수행하고자 한다.